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Individual

EVAN JAMES GORGAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
5333 MCAULEY DR RM 2115, YPSILANTI, MI 48197-1097
(734) 712-3971
Mailing address
805 SPRUCE HILL LN, ORTONVILLE, MI 48462-8538
(248) 568-6695

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
04/19/2021
Last updated
04/19/2021
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